A road map for universal coverage: finding a pass through the financial mountains

Government already pays for more than half of U.S. health care costs, and nearly all universal health insurance proposals assume continued government involvement through tax subsidies and other means. The question of what specific taxes could be used to finance universal coverage is, however, seldom carefully examined, in part due to efforts by health care reform proponents to downplay tax issues. In this article we undertake such an examination. We argue that the challenges of relying on taxes for universal coverage are even greater than is generally appreciated, but that they can nevertheless be met. A proposal to fund a universal health insurance voucher system with a value-added tax illustrates issues that would arise for tax-financed plans in general and provides a broad framework for a bipartisan approach to universal coverage. We discuss significant problems that such an approach would face and suggest solutions. We outline a long-term political and legislative strategy for enacting universal coverage that draws upon precedents set by comparable legislative initiatives, including tax reform and Medicare. The results are an improved understanding of the relationship between systemic health care finance reform and taxation and a politically realistic plan for universal coverage that employs undisguised taxes.     

Public Records Fees Hidden in the Law: A Study of Conflicting Judicial Approaches to the Determination of the Scope of Imposable Public Records Fees

The number of public records requests has significantly increased in recent years, burdening authorities with limited resources and manpower. State and local governments argue that they should be allowed to recoup more fees to recover the costs incurred for processing public records requests, but many commentators warn that exorbitant fees can function as a tactic of delay and intimidation. This article reviews public records statutes, case law and recent legislative reform efforts concerning the determination of the scope of public records fees, finding that unclear statutory language and widely different approaches have made the determination of public records fees difficult. The study argues that statutory reform is called for in order to clearly delineate the specific tasks for which public records fees can be imposed.     

Principles of state health reform: many states not willing to wait for federal reform

Despite the simplicity of the basic objectives of health care reform-- greater access at manageable cost, these goals have not yet been achieved at either the federal or state level. One explanation may be that the American people are not willing to make the sacrifices that are probably necessary to achieve universal access to health care: increased taxes or redirection of governmental expenditures, limitation of choice in providers, and perhaps some form of rationing (which in fact already exists, by limiting access of the uninsured and some of the poor). What, then, are the prospects for meaningful national health care reform in the near future? While the answer to this question remains unclear, there is no doubt that providers across the country are likely to face an unprecedented array of state health care initiatives over the next few years, whether or not federal legislation is enacted. To prepare for this upcoming legislative activity, providers must remain aware of state legislative activity as it evolves.     

Institutional change in the European Parliament: balancing legislative ethics and parliamentary independence

Research on legislative ethics has shown how scandals often trigger ethics reform; yet, the content of the reform often differs from that of the scandal. Why is this the case? And if scandals don't explain legislative ethics reform outcomes, then what does? If not this kind of external shock, then what factor(s) shape legislative reform outcomes? These questions provide the point of departure for a case study of the European Parliament's 2011 ethics reform. Drawing from the legislative ethics literature and from recent theories of institutional change, the article examines the impact of the scandal that initiated the reform, the interests and strategies of reform agents who wanted a quick reform process that would not undermine the EP's independence; and the institutional order in which those actors were embedded. It argues that an institutional logics perspective offers a convincing and comprehensive account of EP ethics reform, and suggests a new analytical framework that might be used by researchers in future research on legislative ethics.     

Legislative Knowledge Networks,Status Quo Complexity,and the Approval of Law Initiatives

In this article, we explore the role of legislative knowledge networks (LKN) in the enactment of tax policy in Argentina. Findings show that legislative innovation follows a hierarchical (power law) structure with a few distinct issue areas dominated by key enacted bills. Taxation in Argentina is well described by three main issue areas: the VAT laws, the income tax, and the revenue‐sharing legislation. We provide evidence that complexity in the status quo, as described by a larger number of important precedent laws, reduces the likelihood of final approval. Our research departs from existing models of delegation by considering complexity in the status quo rather than complexity in the proposal. We argue that more complex status quo should be accounted for when trying to assess whether legislators draft more or less detailed law initiatives.     

我国地方立法权扩张的政治后果分析

本文以建国以来中央——地方立法权限演变的历史说明地方立法存在的必要性。认为市场化发展和民主化改革是地方立法权扩张的动力,并以事实和数据剖析了我国地方立法发展的现状,从社会影响角度分析了地方立法权限扩张的政治后果,从保证中央立法权威、党政关系以及国家在经济发展中的作用三个方面论证了目前我国立法分权的发展还不能影响到国家的单一制结构形式,因此,应将注意力从关注"到底放不放立法权"的问题转向"如何放好地方立法权"的问题。     

Agenda Power,Executive Decree Authority,and the Mixed Results of Reform in the Brazilian Congress

This article examines how institutional change in the use of extraordinary legislation affects delegation of power and unilateral action in new democracies. From 1988 to 2001, Brazilian presidents were able to reissue decrees indefinitely and thus had substantial legislative power. In 2001, Congress amended the constitution so as to restrict the president to a single reissue of each lapsed decree. This reform has had mixed results: although it ended the practice of infinite reissues, it induced Presidents Cardoso and Lula to use more decrees than previous executives had. Presidential agenda power, rather than being reduced, has been sharpened. By analyzing patterns of presidential initiatives from 1995 to 2005, we demonstrate the mixed results of this constitutional reform.     

Sowing seeds of change for the digital world – A response to ‘Digital opportunity: A review of intellectual property and growth’

Professor Ian Hargreaves released his independent report entitled Digital Opportunity – A Review of Intellectual Property and Growth on 18 May 2011. Hargreaves advocates strategic change and policy initiatives for the intellectual property framework in both national and international contexts. Ten recommendations are proposed, including reform of copyright licencing procedures, implementation of a digital copyright exchange, and legislative exceptions to copyright infringement, along with restructuring of systems for the grant and enforcement of patents. In this article, the authors discuss Hargreaves’ recommendations and consider how intellectual property law and policy may be used to facilitate innovation and economic growth in the modern digital world.     

立法权去中心化与立法模式转变

立法权本应属于人民全体,只是交由代议机关行使,但是立法权的所有与行使的分离使其有被滥用的可能,由此导致立法权在行使时出现趋中心化:立法权绝对化、非理性化、将立法权而不是公民作为立法过程的核心。因此,应着力实现立法权的去中心化,实现立法权行使范围和方式的变革。立法模式应该实现由单一政府立法到政府立法与社会立法相结合的转变,更多地发挥公众、社会团体和专家的实质性作用。     

The patient protection and affordable care act: the victory of unorthodox lawmaking

The 2010 Patient Protection and Affordable Care Act was a major legislative achievement of the 111th Congress. This law structurally reforms the US health care system by encouraging universal health care coverage through regulated competition among private insurance companies. When looking at the process for reform, what strikes an observer of US health care policy in the first place is that the Democratic majority was able to enact something in a political field characterized by strong resistance to change. This article builds on that observation. Arguments concentrate on the legislative process of the reform and support the idea that it may be partly explained by considering an evolution of US legislative institutions, mostly in the sense of a more centralized legislative process. Based on approximately one hundred semidirected interviews, I argue that the Democratic majority, building on lessons from both President Bill Clinton's health care reform attempt and the Republicans' strategy of using strong congressional leadership to pass social reforms, was able to overcome institutional constraints that have long prevented comprehensive change. A more centralized legislative process, which has been described as "unorthodox lawmaking," enabled the Democratic leadership to overcome multiple institutional and political veto players.     

European Union Citizenship: Writing the Future

Abstract:  EU citizenship has matured as an institution, owing to a number of important interventions by the European Court of Justice and legislative initiatives, such as the Citizenship Directive 2004/38/EC, which has recently entered into force. In this article, I critically examine minimalist and cosmopolitan conceptions of European citizenship and argue that once we dispense with the preoccupation of assigning primacy to a specific level of citizenship and establishing some kind of hierarchy among them, we can begin to address the questions and issues that really matter. Among these are the future governance of citizenship and the design of a more inclusive, multilayered and multicultural conception of citizenship. European citizenship entails a number of fruitful ideas for a more ambitious transition to a post-national tableau and can be the prototype for institutional experimentation on citizenship on a global scale.     

刑事证人出庭作证难问题研究

随着刑事审判方式改革的不断深入,证人出庭作证、接受质证在刑事诉讼中的作用越来越重要,但由于立法和司法上的原因,刑事案件证人出庭作证难也已成为不容忽视的问题。完善我国证人权利及其保障制度、完善立法、加强对公民的法制定位和教育是解决这一问题的对策。     

A COMMENT. The road to court improvement in child protection cases

Judges are the key to court reform in child protection proceedings but legislative mandates cannot guarantee the requisite level of judicial commitment. Lack of full implementation of the Adoption Assistance and Child Welfare Act of 1980 demonstrates that rather than rely on statutory language, court reformers ought to increase judicial understanding of the provisions of federal law through initiatives such as cross-training. From December 1996 to June 1998, Kentucky's Court Improvement Project delivered 11 regional cross-training sessions to more than 550 judges, attorneys, social service personnel and other child advocates. Based on a statewide survey, cross-training increased significantly awareness of federal child protection objectives among the state's judges. Awareness of a policy among those expected to implement it is the first step toward implementation.     

Engaging the demand dynamic: promoting internal forces for reform through targeted legislative strengthening support

Institutional reform or development happens when those within the organisation want that development and are willing to commit the time, effort and necessary resources under their control to support it. This may be referred to as the will for development. Over the years, a general strategy for legislative development has emerged in which the will for development is enlisted in one or more of three ways: mapping, incentivising, and creating demand. These efforts focus on identifying the will for development independent of the legislative strengthening project itself. This paper will explore how success in supporting the budget process by the United States Agency for International Development-funded Afghanistan Parliamentary Assistance Programme enhanced and/or created the will for further development within that legislature. The paper will demonstrate how budget process support can be used to engage a broader constituency of committees and civil society organisations, creating a self-sustaining reform dynamic to be referred to as the demand dynamic.     

Recent developments in privacy legislation

In this article, Ruth Carey takes a critical look at recent privacy-of-personal-information legislation drafted in three Canadian provinces--Ontario, Alberta, and British Columbia. The article begins with a historical overview of international legal instruments and other privacy guidelines, and the Canadian experience with privacy protection. It then critically analyzes the provincial initiatives in the context of the federal Personal Information Protection and and Electronic Documents Act and accepted privacy principles. The article goes on to highlight certain types of legislative provisions of particular interest to people with HIV/AIDS and those who advocate on their behalf. It concludes that the numerous legislative initiatives underway in Canada provide an opportunity to alter the public discourse around the virus, thereby improving the lives of people with HIV/AIDS.     

Don't Sweat the Details! Enhancing Congressional Committee Expertise Through the Use of Detailees

In contrast to the dramatic growth in the size and influence of the executive branch over the past 40 years, congressional committee staffing levels are at an all‐time low. Faced with growing demands to produce legislation and to conduct oversight of executive branch policymaking, Congress can and does supplement its existing staff by borrowing personnel, known as detailees, from federal agencies. Using an original dataset of detailees from 1997 to 2015, we analyze the degree to which congressional committees rely on detailees to increase legislative capacity. We find that committees in the House and Senate use detailees in different ways to further both legislative and oversight initiatives.     

Democracy in Europe: Why the Development of the EU into a Transnational Democracy Is Necessary and How It Is Possible

Can the process of European unification lead to a form of democracy that is at once supranational and situated above the organisational level of a state? The supranational federation should be constructed in such a way that the heterarchical relationship between the Member States and the federation remains intact. The author finds the basis for such an order in the idea of the EU constituted by a ‘doubled’ sovereign—the European citizens and the European peoples (the States). In order to sustain such an order, reforms of the existing European treaties are needed. It is necessary to eliminate the legitimation deficits of the EU in a future Euro‐Union—that is, a more closely integrated core Europe. The European Parliament would have to gain the right to take legislative initiatives, and the so‐called ‘ordinary legislative procedure’, which requires the approval of both chambers, would have to be extended to all policy fields.     

Bonded labor characteristics of U.S. postgraduate medical training

Abuses in labor practices affecting hospital housestaff (residents) have become better understood with the 2002 filing of a federal lawsuit challenging U.S. resident hiring practices. Other initiatives to redress residency employment abuses have included labor action (unionization) and legislative initiatives at both the state and federal levels. This Article suggests that all such initiatives are fated to have limited success because they fail to take into account the economics of the residency system. The author argues that, in several key respects, the U.S. residency employment system resembles the self-perpetrating bonded labor systems of rural Asia. Consequently the Article proposes a radical restructuring of U.S. housestaff employment.     

论我国土地制度改革的实验主义进路———以 1978 ~2013 年土地立法为样本的分析

实验主义立法进路的出现,是政治经济体制巨变所催生的产物.30多年的土地制度改革则是该立法进路的一个缩影,而暂行法、试点立法则是它的具体表现形式.在实验性立法的保障下,土地制度不仅平稳、顺利地过渡到市场经济体制,而且还形成了全新的土地法律体系.虽然在当下的土地制度改革中,实验主义立法进路的负面效应已经呈现出来,但制度风险小、操作成本低的优点仍使得它具有广阔的生存空间.因此,面对新一轮的土地制度改革,实验性立法必须在立法的规范性上作出适度调整,以保障土地制度改革的顺利进行.     

Greenhouse Gas Politics and Climate Change Public Nuisance Litigation

In late 2009 three long-awaited decisions were handed down in the main climate change public nuisance cases. In one case, the Northern District of California became the latest trial court to dismiss plaintiffs’ claims, while in the others the Second and Fifth Circuits reversed, allowing the plaintiffs' claims to proceed. The decisions all have been appealed. The ultimate outcome of the appeals could be affected by several legislative and administrative initiatives that are expected to see further development in 2010. This article reviews some of those initiatives and discusses their relevance to the nuisance litigation.